2017 Medicaid Medicare US Department of Health and Human Services 
Healthcare Compliance Blog
MAY 10, 2022
An ineligible Medicaid provider was arrested in Florida for defrauding Medicaid of more than $68,000. According to a Medicaid Fraud Control Unit investigation, the provider had failed to disclose his former felony convictions that precluded Medicaid from accepting the application. List of Excluded Individuals/Entities ?
Healthcare Compliance Blog
MAY 9, 2022
A home health services company headquartered in Kentucky, and its related entities, paid $2.1 million to the United States government to settle claims of improperly billing the Medicare Program for home health services provided to beneficiaries living in Florida.
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Healthcare Compliance Blog
JUNE 9, 2022
His exclusion means that no federal healthcare program payment may be made, either directly or indirectly, for any items or services furnished by him or at his direction or prescription. Between 2017 and 2019, the man, through a group of pain clinics he controlled, caused the submission of false claims for payment to Medicare.
Med-Net Compliance
AUGUST 18, 2022
An Indiana provider of skilled nursing and long-term care services has agreed to pay $5,591,044.66 to resolve allegations that it violated the False Claims Act by submitting false claims to the Medicare program. The complaint alleged that the provider had engaged in conduct to defraud the Medicare program. to the United States.
Healthcare Law Blog
MARCH 7, 2023
The Centers for Medicare & Medicaid Services (“CMS”), on behalf of the U.S. Department of Health and Human Services (“HHS”), recently issued a proposed rule to adopt standards under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) for “health care attachment” transactions (the “Proposed Rule”).
C&M Health Law
JANUARY 20, 2023
This builds on the HIPAA Transactions Rule standards for financial and administrative transactions among health care providers and health plans and aligns with Department of Health and Human Services (HHS) interoperability regulations.
CMS.gov
APRIL 30, 2018
CMS Encourages Eligible Suppliers to Participate in Expanded Medicare Diabetes Prevention Program Model. For the first time, both traditional healthcare providers and community-based organizations can enroll as Medicare suppliers of health behavior change services. keya.joy-bush@…. Mon, 04/30/2018 - 10:58. Seema Verma.
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